| NPI | 1942386859 |
|---|---|
| Former Name | ALISSA ANN GLOCKNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: CA AU2270) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA AU2270) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2014-09-23 |